PEDIATRICS Vol. 84 No. 6 December 1989, pp. 964-968
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Untreated Bacteriuria in Asymptomatic Girls With Renal Scarring

Sverker Hansson MD1, Ulf Jodal MD1, Lars Norén MD1, and Jan Bjure MD1

1 The Departments of Pediatrics, Pediatric Radiology, and Pediatric Clinical Physiology, Gothenburg University, Gomacrteborg, Sweden

Recurrences of bacteriuria after treatment occur in 50% to 80% of asymptomatic patients. Previous experience with short-term treatment as well as longterm prophylaxis has been disappointing, with a significant risk of infections, ie, development of symptoms after treatment. Results with nontreatment are described in this report with reference to clinical course, renal growth, and glomerular filtration rate in 26 asymptomatic girls with established renal scarring and bacteriuria. Acute pyelonephritis was not seen in those with continuing bacteriuria or spontaneous clearance. Neither in scarred nor in unscarred kidneys did the duration of bacteriuria influence renal growth or glomerular filtration rate. Asymptomatic patients with bacteriuria may gain from nontreatment and may have a reduced risk of pyelonephritic attacks.

Key Words: Iteriuria • renal scarring • renal growth • glomerular filtration rate

Submitted on December 5, 1988
Accepted on January 31, 1989




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